Heart and Vascular Center, Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115, USA.
Leon H. Charney Division of Cardiology, Department of Medicine, New York University Langone Health, NYU Grossman School of Medicine, New York, NY 10016, USA.
Eur Heart J Acute Cardiovasc Care. 2023 Nov 16;12(11):792-801. doi: 10.1093/ehjacc/zuad096.
Immune-mediated systemic inflammatory conditions (IMIDs) are associated with an increased risk of atherosclerosis and adverse cardiovascular (CV) events secondary to pathogenic inflammation and derangements in the innate and adaptive immune responses inherent to the underlying rheumatic diseases. As the intersection of cardio-rheumatology continues to expand, a multi-disciplinary approach must be considered to optimize clinical outcomes and long-term survival. This review will highlight acute cardiac manifestations of systemic inflammatory diseases and propose a clinically relevant framework for diagnosis, management, and the role of integrated multimodality imaging.
免疫介导的系统性炎症性疾病（IMIDs）与动脉粥样硬化风险增加和不良心血管（CV）事件相关，这是继发于潜在风湿性疾病固有和适应性免疫反应中的致病性炎症和紊乱。随着心脏风湿病学的交叉领域不断扩展，必须考虑多学科方法来优化临床结局和长期生存。本综述将重点介绍系统性炎症性疾病的急性心脏表现，并提出一个用于诊断、管理和综合多模态成像作用的具有临床相关性的框架。
